Acquaro, Dominick
Acquaro, Dominick is an sole proprietor health care provider with primary practice located at 7806 W Jefferson Blvd Bldg 2 Ste. #C, Fort Wayne IN 46804-4179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Acquaro, Dominick can be contacted via phone (260) 459-0087.Contact Information
Primary practice address
7806 W Jefferson Blvd Bldg 2 Ste. #C
Fort Wayne IN 46804-4179
Phone: (260) 459-0087
Fax: (260) 969-8514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01037315 | Indiana |
Profile Details
| NPI number | 1437265584 |
|---|---|
| LBN Legal business name | Acquaro, Dominick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437265584 | NPPES |
| Indiana | Other | 000000078561 | ANTHEM |
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